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Free Internet Signup - Testing For Data Capturing

Limited to 1 signup per tax household

Step 1 of 6

16%
  • 15GB Data Monthly for the Tablet
  • What is your full legal name? The name you use on official documents, like your Social Security Card or State ID. Not a nickname.
  • MM slash DD slash YYYY
    You must be over 18 to apply for this program. If your child qualifies and not you, apply under your name and add the child name under the child section.
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  • Please leave out the 1 before the number.
  • This is how we will communicate with you if we require more information. Please keep an eye on your email as additional documentation may be required.
  • This is where we will ship your device
  • Currently this program is only for the following states (New York, New Jersey, Alabama, Alaska, Colorado, District of Columbia, Idaho, Iowa, Maryland, North Dakota, Ohio, Oklahoma, & Texas). If you want to apply using an address from another state, continue filling out the form and when we have more states, we can process your order.

    Email info@getconnectedfree.com for any questions.

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  • If you do not qualify on your own (such as if your child qualifies through the Free School Lunch Program), you can sign up for Lifeline or the Emergency Broadband Benefit through your child or dependent if they participate in any of the qualifying programs.
  • Your household qualifies for the Benefit if you OR any member of the household:

    • Qualifies for Lifeline benefits through participation in SNAP, Medicaid, Supplemental Security Income, Federal Public Housing Assistance, or Veterans and Survivors Pension Benefit
    • Received approval for benefits under the free and reduced-price school lunch program or the school breakfast program, including through the USDA Community Eligibility Provision, in the 2019-2020 or 2020-2021 school year
    • Experienced a substantial loss of income since February 29, 2020 due to job loss or furlough AND has a total household income in 2020 at or below $99,000 for single filers and $198,000 for joint filers
    • Received a federal Pell Grant in the current award year
    • Meets the eligibility criteria for a participating provider’s existing low-income or COVID-19 program, and that provider received FCC approval for its eligibility verification process
    • It has an income at or below 135% of the federal poverty guidelines
    • Participates in one of several Tribal specific programs: Bureau of Indian Affairs General Assistance, Tribal Head Start (only households meeting the relevant income qualifying standard), Tribal Temporary Assistance for Needy Families (Tribal TANF), Food Distribution Program on Indian Reservations
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  • We will use your Child or Dependent's Information to find out if you qualify for the Lifeline Program or the Emergency Broadband Benefit Program through them.
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  • To qualify for the Emergency Broadband Benefit, we need to know which government assistance program your child or dependent is in.
  • To qualify for the Free Internet Benefit, we need to know which government assistance program you are in.
  • You will be asked to submit documents about the program(s) you select.
  • To prove your household income is at 135% or less of the Federal Poverty Guidelines, you must submit one or more of the following documents (screenshot or picture is ok):

    • The prior year's state, federal, or Tribal tax return
    • Current income statement from an employer or paycheck stub
    • A Social Security statement of benefits
    • An Unemployment or Worker's Compensation statement of benefits
    • A Federal or Tribal notice letter of participation in General Assistance
    • A Divorce Decree, child support award, or other official document containing income information

    Note: If the document doesn't cover a full year, such as a pay stub, you must show the same document for (3) months in a row within the same year to provide your gross annual income.

  • To prove participation in one of the above programs, you must submit a document that, at minimum, includes:

    • Your name, or your dependent's name
    • The name of the qualifying program, such as Medicaid
    • The government or Tribal program administrator or the managed care organization (MCO) that issued the document
    • An issue date within the last 12 months or a future expiration date that aligns with the benefit period
  • To qualify for the Emergency Broadband Benefit based on a substantial loss of income since February 29, 2020, your household income for 2020 must be no greater than $99,000 for single filers or $198,000 for joint filers. To demonstrate a substantial loss of income since February 29, 2020, submit one of the acceptable documents from BOTH Group 1 and Group 2 below:

    • Group 1(Proof of loss of job - dated on or after February 29, 2020)
      • Layoff notification or furlough notice from Employer
      • Approval Letter of unemployment
      • Unemployment Benefit Statement
      • Application for unemployment benefits
    • Group 2 (Proof that the household does not have an income greater than $99,000 for single filers and $198,000 for joint filers for calendar year 2020.)
      • 2020 state, federal, or Tribal tax return (e.g. W2 or 1040)
      • A Social Security statement of benefits
      • A Veterans Administration statement of benefits
      • A retirement/pension statement of benefits
      • Unemployment/worker's compensation statement of benefit
      • Divorce decree, child support award, or other official document containing income information

    The document must include:

    • Your name, or your dependent's name
    • 2020 calendar year income information (gross income annualized)
  • To prove participation, submit one of the following acceptable documents:

    • Letter or email from School or School district that confirms a member of the household receives free or reduced school lunch/breakfast for the 2019-2020 and/or 2020-2021 school years (if you are providing an email that your school sent out, please note that it must include your legal name, and date of the email. The easiest way to do this is to select print on the email and download as a PDF in google chrome.)
    • Written proof that the child is enrolled in a School or School district that participates in the Community Eligibility Provision for the 2019-2020 and/or 2020-2021 school years

    The document must include:

    • Your name, or your dependent's name
    • Name of School or School District
    • Name of qualifying program (lunch and/or breakfast)
    • School year of either 2019-2020 or 2020-2021
  • To prove participation in one of the above programs, you must submit a document that, at minimum, includes:

    • Your name, or your dependent's name
    • The name of the qualifying program, such as Medicaid
    • The government or Tribal program administrator or the managed care organization (MCO) that issued the document
    • An issue date within the last 12 months or a future expiration date that aligns with the benefit period

    Example: Benefit Card, letter from qualifying program containing your information and expiration dates, screenshot from Medicaid app. Your documents must have a printed date or expiration date on it.

  • To prove participation, submit one of the following acceptable documents:

    • Written confirmation from a student's Institution of Higher Education or the Department of Education that the student has received a Pell Grant for the current award year
    • A student's official financial aid award letter documenting the amount of a students' Pell Grant award received for the current award year
    • A copy of a student's paid invoice that clearly documents the student's receipt of a Pell Grant during the current award year
    • A copy of a student's Student Aid Report that clearly documents the student's receipt of a Pell Grant during the current award year
    • Screenshot of student dashboard from National Student Loan Data System, for the current award year Screenshot from FAFSA, for the current award year
    • A copy of the email notification from the Department of Education sent to all Pell Grant recipients about the EBB program, for the current award year

    The document must include:

    • Your name, or your dependent's name
    • Name of program administrator or University/College that issued the document
    • A current award year
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      • The information you gave us will be used to check if you qualify for the Emergency Broadband Benefit. Please confirm that it is okay.
      • I agree, under penalty of perjury, to the following statements:
      • Type your full legal name above.
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